Culturally Sensitive Counseling for Asian Americans/Pacific Islanders
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Culturally Sensitive Counseling for Asian Americans/Pacific Islanders Alexis Ann Schoen, Graduate Student, School Counseling Program, Holy Family University. Correspondence concerning this article should be addressed to Ms. Alexis Ann Schoen, 211 W. County Line Road, Huntingdon Valley, PA 19006. Journal of Instructional Psychology . Sep2005, Vol. 32 Issue 3, p253-258. 6p. There is a constellation of considerations for counselors dealing with Asian American/ Pacific Islander clients. In order to provide culturally sensitive counseling, counselors need to know and respect the traditional values of the particular ethnic group. Beyond this the counseling process may be enhanced by attention to other salient factors involving acculturation, enculturation, personal issues, and environmental variables. The task demands idiosyncratic tailoring of the counseling process to meet the diverse needs of this growing ethnic minority group. The strong multicultural component of the United States population has prompted the need for counselors to consider multicultural factors when communicating with their clients (Zhang & Dixon, 2001). Consequently, policies and practices in counseling have and continue to be revised to address this need. For example, new guidelines on multicultural education, training, research, practice, and organizational change have been drafted to reflect the knowledge and skills needed for the counseling profession in the midst of dramatic sociopolitical changes in our society (American Psychological Association, 2002). Among the many cultural groups, Asian Americans are the second fastest growing ethnic minority group in the United States (U.S. Bureau of the Census, 2002). When Asian Americans are grouped with Pacific Islanders, this population makes up the fastest growing ethnic community (Maki & Kitano, 2002). As of 2000, there were reportedly 10.2 million individuals of this cultural group living in the United States, representing an increase of 46% since 1990 (Kim & Omizo, 2003). Recent immigration levels suggest that this number will grow rapidly in the near future. Within the population of Asian Americans/Pacific Islanders, more than 20 nationality groups exist. Some of these include the Chinese, Filipino, Japanese, Asian Indian, Korean, Vietnamese, Cambodian, Hmong, Laotian, Thai, Hawaiian, Samoan, and Guamanian. Of these groups, the Chinese, Filipino, Korean, and Vietnamese populations have increased in number at a fast pace (Maki & Kitano, 2002). In general, these groups settle along coastal areas of the United States, especially in the states of California, New York, Hawaii, Texas, and New Jersey (U.S. Bureau of the Census, 1997). Much diversity exists within this population of Asian Americans/Pacific Islanders. There is a wide variety of identities, languages, and cultures. Even within each ethnicity, differences in values, behaviors, and attitudes will vary based on the generation, ethnic experience, socioeconomic status, acculturation, enculturation, age, gender, religion, region, sexual orientation, visibility (appearance), and history of discrimination. These factors will mold a person's perspective of himself or herself as well as how life is viewed. Naturally, counselors working with Asian American/Pacific Islander clients will need to complement their understanding of the basic information about the original culture with an exploration of these additional factors. The Basic, Traditional Cultural Values Initially, counselors must be knowledgeable of the basic traditions that have been recognized in this multicultural group of Asian Americans/Pacific Islanders. Generalized values, behaviors, and attitudes cannot be unilaterally affixed to each client; however, an awareness of such traditions is an essential foundation for counselors' appreciation of the client's cultural background. A myriad of value categories have been empirically identified in the literature related to this cultural group (Kim, Atkinson, & Umemoto, 2001; Maki & Kitano, 2002). These categories are identified and described below. Self-control Self-control is highly valued among this ethnic group. Self-control may be demonstrated by exercising poise and calmness in the face of highly emotional experiences, maintaining dignity when confronted with pain or suffering, and sustaining modest and appropriate behavior. Modesty may be evidenced in depreciating one's own accomplishments rather than boasting about success, for example. Collectivism/Solidarity Individual rights, needs, and desires axe suppressed in order to elevate the welfare of the group. There is a strong sense of commitment to and obligation in satisfying group interests and goals. This is operationalized by placing others' needs ahead of one's own needs. In an effort to maintain group solidarity, differences of opinion are typically reconciled in order to retain harmony and reach consensus. Accommodations are made to show respect for the feeling of others and foster a spirit of cohesiveness. In addition, reciprocity in repaying another person's favor is expected. Filial Piety Parental respect is a powerful value among this ethnic group. Children are expected to love their parents and obey the norms established by the family. Interdependence and trust are cultivated within the family system. Any individual member's achievement is attributed to the family's accomplishments. Shame Related to filial piety, shame is the mechanism used to deter inappropriate behaviors that might tarnish the family's reputation. Any individual family member's failures impact the family as a whole. Deference to Authority Figures Age and intelligence are revered. Ancestors and elders are assumed to have more wisdom through life experiences and, therefore, deserve more respect than younger people. Individuals with advanced education command respect as authority figures, from whom much can be learned. Achievement Hard work and tenacity are regarded as virtues. Applied to school and work, these virtues should facilitate success in academic and career accomplishments. Priority is placed on educational and occupational achievement. Unassuming Attitude There is no desire to attract special attention to the individual. This may manifest itself in an avoidance in utilizing psychological counseling. Relying on inner resources and self- determination, the individual may reject the help of others in order to evade the perception of weakness. Counseling Implications for Clients Who Hold Traditional Values Culturally sensitive counselors enhance the counseling process for Asian Americans/Pacific Islanders. In a study by Zhang and Dixon (2001), the researchers examined the differential effectiveness of culturally responsive and culturally neutral counselors. Based on the input of 60 students who were interviewed under both conditions, the culturally responsive counselors were viewed as more experet, more attractive, and more trustworthy than the culturally neutral counselors. What, then, are the conditions for orchestrating culturally sensitive counseling sessions for Asian Americans/Pacific Islanders who hold traditional ethnic values? In response to this question, counselors should consider what the context of the counseling session will be, how the counseling sessions will be implemented, and who will conduct the counseling sessions in order to maximize positive outcomes. What Content Might Be Targeted There is a great need for psychological services among the cultural group to deal with a variety of problems including academic, interpersonal, health/substance abuse, dating, bicultural and biracial issues, family difficulties due to emerging cultural differences, marginality, difficulties relating within various subgroups, and the experience of racism (Leong, 1986). Yet, the level of need for psychological counseling in these areas has not been proportional to the rate of utilization of the services (Kim & Omizo, 2003). This may well reflect the traditional value of being unassuming and avoiding bringing negative attention to one's self or family. In consideration of this, initial counseling sessions for a client who ventures out to seek help should be prudently planned. Since an interest in and value of educational and occupational achievement exists, a willingness to discuss these non-threatening issues may be pursued. Subsumed in these discussions should be the influence of parental expectations. Tang (2002) emphasizes the relevance of paternal influence, in particular, as a powerful influence on career choice, Further, Kim and colleagues (2001) also advise the introduction of task-oriented content rather than personal-oriented topics. When trust and comfort is established, more sensitive issues may be gradually introduced. As Kim and Omizo (2003) suggest, when Asian Americans seek help for academic or career concerns, it may open the door for exploration of issues related to personal or health problems. How Counseling Sessions Might Be Implemented To provide more effective cross-cultural counseling, counselors must be aware of their communication style, counseling style, and client expectations. A large repertoire of verbal and nonverbal behaviors will be beneficial (Zhang & Dixon, 2001). Language barriers may be mediated by action-oriented and artistic therapies. For example, concrete activities such as sand play could allow clients to express their worlds and engage in self-discovery of subconscious themes, emotions, or beliefs (Enns & Kasai, 2003). Such action-oriented sessions could be structured